What is the Medicare Safety Net?
The Medicare Safety Net is a scheme designed by the Australian Government to provide financial assistance to individuals and families who incur high medical costs. It helps to reduce out-of-pocket expenses for eligible Medicare services received out of hospital.
How Does the Medicare Safety Net Work?
Once you reach a certain threshold in out-of-pocket costs, the Medicare Safety Net provides higher Medicare benefits for eligible services. This means that you will get more money back from Medicare for out-of-hospital services for the rest of the calendar year.
Safety Net Thresholds
There are three different thresholds for the Medicare Safety Net:
1. Original Medicare Safety Net (OMSN):
This is available to all Medicare cardholders.
Once you and your family spend a certain amount on out-of-pocket costs, you will receive 100% of the schedule fee for out-of-hospital services.
2. Extended Medicare Safety Net (EMSN):
This offers further financial assistance and is available to all Medicare cardholders.
Once you and your family reach the EMSN threshold, Medicare will pay up to 80% of your out-of-pocket costs for out-of-hospital services.
3. Extended Medicare Safety Net – Concessional and Family Tax Benefit Part A (EMSN-CFTB):
This provides additional benefits to those with a Commonwealth concession card or who are eligible for Family Tax Benefit Part A.
You will receive increased benefits once you reach this threshold.
How to Qualify for the Safety Net
To benefit from the Medicare Safety Net, make sure:
Your family members are registered as a Medicare Safety Net family.
Keep your Medicare details up to date.
Monitor your out-of-pocket expenses throughout the year.
How to Register for the Medicare Safety Net
Families need to register to ensure all out-of-pocket expenses are counted towards the Safety Net. Individual Medicare cardholders do not need to register. You can register as a family online through your MyGov account linked to Medicare, by calling Medicare, or by visiting a Medicare service centre.
To find out more information visit the Services Australia Website